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[Spinal extradural angiolipoma: a case report].

C Mimata1, H Wada, Y Sano

  • 1Department of Neurosurgery, Oita Prefectural Hospital.

No Shinkei Geka. Neurological Surgery
|October 1, 1992
PubMed
Summary
This summary is machine-generated.

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A rare spinal angiolipoma, a benign tumor, caused progressive lower extremity weakness in a 60-year-old man. Surgical removal was successful, highlighting this tumor

Area of Science:

  • Neurology
  • Oncology
  • Pathology

Background:

  • Spinal epidural masses can present with progressive neurological deficits.
  • Angiolipomas are rare benign tumors, distinct from spinal lipomas, often occurring in the central nervous system.
  • Dorsal thoracic epidural space is a common location for spinal angiolipomas.

Observation:

  • A 60-year-old male presented with a four-year history of progressive lower extremity weakness, spastic paraparesis, sensory disturbance below T10, and mild sphincter dysfunction.
  • Diagnostic imaging, including conventional myelography, CT myelography, and MRI, revealed a fusiform, enhancing epidural mass from T5 to T8.
  • The mass was described as red and fibrous upon surgical exploration.

Findings:

  • Histopathological examination confirmed the diagnosis of angiolipoma.

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  • The patient's tumor exhibited a fusiform shape, potentially characteristic of thoracic angiolipomas.
  • This case adds to the limited world literature on central nervous system angiolipomas, with 39 previously reported spinal occurrences.

    • Implications:

    • Early diagnosis and surgical intervention are crucial for managing spinal angiolipomas.
    • Understanding the characteristic imaging findings, such as fusiform shape and enhancement, aids in differentiating angiolipomas from other epidural masses.
    • This case contributes to the understanding of the clinical presentation and pathology of spinal angiolipomas, informing future diagnostic and treatment strategies.